Journal article
Reaching rural veterans: Applying mind-body skills for pain using a whole health telehealth intervention: The RAMP pilot study
Contemporary clinical trials, Vol.162, 108254
03/01/2026
DOI: 10.1016/j.cct.2026.108254
PMID: 41667052
Abstract
The current study piloted a telehealth, multicomponent intervention for rural Veterans, to increase access to non-pharmacological approaches to managing chronic pain.
This single arm pilot study examined the feasibility of trialing the Reaching Rural Veterans: Applying Mind-Body Skills for Pain Using a Whole Health Telehealth Intervention (RAMP). RAMP consisted of an individual session followed by 11 facilitated group sessions (90-min each), that included expert-led educational and experiential physical exercise and mind-body skill-building videos. Feasibility was assessed using pre-specified milestones. for recruitment and enrollment (N = 40), satisfaction (75%), fidelity (90%), intervention engagement (75%), and data collection (surveys of pain and health outcomes at 14 weeks, 80%).
The following milestones were met: 1) 40 rural VA patients with moderate to severe chronic pain were enrolled, 2) 90% of participants were satisfied with the intervention, and 3) facilitators delivered 100% of session activities 100% of the time. The following milestones were nearly met: 4) intervention engagement: 68% of Veterans engaged in at least 7 of 12 sessions, and 5) data collection: 75% survey completion at 14 weeks. Participants reported that the intervention supported their pain self-management capabilities, provided useful self-management opportunities and resources, and enhanced their motivation to self-manage their pain. Participant and other key stakeholders identified important areas for improvement.
Pilot results demonstrated that RAMP is feasible and acceptable to rural Veterans with chronic pain and helped identify optimization strategies to enhance future program engagement.
Details
- Title: Subtitle
- Reaching rural veterans: Applying mind-body skills for pain using a whole health telehealth intervention: The RAMP pilot study
- Creators
- Katherine Hadlandsmyth - University of IowaRoni Evans - University of MinnesotaBrent D Leininger - University of MinnesotaBrent C Taylor - Minneapolis VA Health Care SystemLee J S Cross - Minneapolis VA Health Care SystemAnn Bangerter - Minneapolis VA Health Care SystemEmily M Hagel Campbell - Minneapolis VA Health Care SystemAlexander C Haley - University of MinnesotaMallory Mahaffey - Minneapolis VA Health Care SystemMarianne S Matthias - Regenstrief InstituteStephanie L TaylorDiana J Burgess
- Resource Type
- Journal article
- Publication Details
- Contemporary clinical trials, Vol.162, 108254
- DOI
- 10.1016/j.cct.2026.108254
- PMID
- 41667052
- NLM abbreviation
- Contemp Clin Trials
- ISSN
- 1551-7144
- eISSN
- 1559-2030
- Publisher
- Elsevier
- Grant note
- National Institute of Nursing Research (NINR): 1UG3NR020929-01 National Center for Complementary and Integrative Health (NCCIH): U24 AT009676 National Institute of Allergy and Infectious Diseases (NIAID)National Cancer Institute (NCI)National Institute on Aging (NIA)National Heart, Lung, and Blood Institute (NHLBI)National Institute of Minority Health and Health Disparities (NIMHD)National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)NIH Office of Behavioral and Social Sciences Research (OBSSR)NIH Office of Disease Prevention (ODP)Minneapolis VA Health Care System, University of IowaUniversity of MinnesotaVeteran Health Administration Research Career Scientist Award: RCS 23-082
This work was supported within the National Institutes of Health (NIH) Pragmatic Trials Collaboratory by cooperative agreement (1UG3NR020929-01) from the National Institute of Nursing Research (NINR). This work also received logistical and technical support from the NIH Pragmatic Trials Collaboratory Coordinating Center under award number U24 AT009676 from the National Center for Complementary and Integrative Health (NCCIH), the National Institute of Allergy and Infectious Diseases (NIAID), the National Cancer Institute (NCI), the National Institute on Aging (NIA), the National Heart, Lung, and Blood Institute (NHLBI), the National Institute of Nursing Research (NINR), the National Institute of Minority Health and Health Disparities (NIMHD), the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), the NIH Office of Behavioral and Social Sciences Research (OBSSR), and the NIH Office of Disease Prevention (ODP). The content is solely the responsibility of the authors and does not necessarily represent the official views of NINR or NCCIH, NIAID, NCI, NIA, NHLBI, NIMHD, NIAMS, OBSSR, or ODP, or NIH.This material is also the result of work supported with resources at the Minneapolis VA Health Care System, University of Iowa, and University of Minnesota. Dr. Taylor's work was supported by a Veteran Health Administration Research Career Scientist Award (RCS 23-082).The content, opinions, interpretations, conclusions, recommendations are solely the responsibility of the authors and are not necessarily represent the official views of the NINR, NIH, U.S. Department of Veterans Affairs, or the United States Government.
- Language
- English
- Date published
- 03/01/2026
- Academic Unit
- Nursing; Anesthesia
- Record Identifier
- 9985139307302771
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